Individual provider Active NPI

Brad Watkins, MD

  • Surgery Physician
  • West Chester, OH
National Provider Identifier
1922052828
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD00036873 Issued in WA
Practice address
7798 University CT
Ste E
West Chester, OH 45069-7745
Phone
(513) 939-2263
Fax
(513) 874-4569
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35-067327 OH
Surgery Physician 208600000X MD00036873 WA Primary

Addresses

Primary practice location

7798 University CT
Ste E
West Chester, OH 45069-7745

Mailing address

1231 116TH Ave NE Ste 535
Bellevue, WA 98004-3804
Phone (425) 668-1916

Other practice location 1

1231 116th Ave NE Ste 535
Bellevue, WA 98004-3804
Phone (425) 668-1916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201221001944 WA Practitioner - General SurgeryPractitioner - Other (Physician) 7911900816 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Louisville School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1211 24TH St
Anacortes, WA 98221-2562
Phone (360) 299-1350

1213 24TH St
Suite 700
Anacortes, WA 98221-2595
Phone (360) 293-5142

7 Deye LN
Eastsound, WA 98245-8578
Phone (360) 293-3101

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy66
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)14
Upper gastrointestinal (GI) endoscopy for acid reflux61
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-067327OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Proliance Surgeons, Inc., P.S. CurrentSince Jan 1, 2021 Accepting new patients
Proliance Surgeons Inc P S Current Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince May 1, 2025 Accepting new patients
Public Hospital District No 2 Skagit County Washington Current Accepting new patients
Overlake Medical Clinics LLC CurrentSince Aug 1, 2021 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince May 1, 2025 Accepting new patients
Overlake Medical Clinics, LLC CurrentSince Aug 1, 2021 Accepting new patients
Public Hospital District No 2 Skagit County Washington Current Accepting new patients
Proliance Surgeons Inc P S CurrentSince Jan 1, 2021 Accepting new patients
Public Hospital District No 2 Skagit County Washington Past Accepting new patients
Issaquah Obstetrics and Gynecology PLLC Past Accepting new patients

Locations

1213 24th St
Ste 700
Anacortes, WA 98221
Phone (360) 293-5142

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

2511 M Ave
Ste B
Anacortes, WA 98221
Phone (360) 293-3101

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460

1231 116th Ave NE
Ste 535
Bellevue, WA 98004
Phone (425) 668-1916

7 Deye Ln
Eastsound, WA 98245
Phone (360) 293-3101

510 8th Ave NE
Ste 200
Issaquah, WA 98029
Phone (425) 392-3030

6520 226th Pl SE
Ste 150
Issaquah, WA 98027
Phone (425) 688-5777

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1922052828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 116TH AVE NE STE 535",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043804",
            "telephone_number": "425-668-1916",
            "fax_number": "425-688-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7798 UNIVERSITY CT",
            "address_2": "STE E",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450697745",
            "telephone_number": "513-939-2263",
            "fax_number": "513-874-4569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1231 116th Ave NE Ste 535",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980043804",
            "country_code": "US",
            "telephone_number": "425-668-1916",
            "fax_number": "425-688-1901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "BRAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35-067327",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00036873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

Verify at the official NPI Registry.